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RE 123 456 789 US

RE 123 456 789 US

BC Number

6/20/2008

Issued by: Man Full Name, Principal


c/o temporary mailing location:
U. S. P. O. Postmaster
Man Address
Man City, State
non domestic without the United States

Beneficiary: Henry M. Paulson Jr., U.S. Trustee d/b/a


Secretary of the Treasury
Department of the Treasury
C/O 1500 Pennsylvania Avenue N.W.
Washington D.C. 20220

In the matter of: Certificate of Live Birth No. BC #, Accepted for Value and Exempt from Levy For deposit to
the Department of the Treasury For further credit to: STRAWMAN FULL NAME, SS#.

The undersigned Man Full Name (Principal), a living Christian man/woman in rerum
natura, herewith accepts for value the enclosed bond, Certificate of Live Birth No. BC # and all
endorsements front and back in accord with Public Law found at Chapter 48, 48 Stat. 112, Public
Policy found at House Joint Resolution 192 of June 5, 1933, and the Uniform Commercial Code,
the Principal being the sole authorized acceptor of the said bond, contributor of value thereto, and
contributing beneficiary thereof.
BOND ORDER
Please deposit this bond to an account bearing the Registered Mail No. BC Bond
Registered Mail # for future identification purposes, to be used for setoff of any and all bills,
taxes, liabilities and claims (i) against Man First Name Man Middle Name Man Last Name as
listed on Certificate of Live Birth, No. BC # a/k/a STRAWMAN FULL NAME, (ii) against the
Principals debtor: STRAWMAN FULL NAME a/k/a STRAWMAN ALT 1 a/k/a STRAWMAN
ALT 2 a/k/a any and all similar alphanumeric derivatives (SS# ) File No. UCC# , UCC Date M-DY, UCC State annexed hereto), or (iii) against any of the Principals various debtors or
beneficiaries, the said claims to be identified by the Principals acceptance for value and
endorsement noted thereon.
Please (i) adjust any and all such bills, taxes, claims and liabilities to a zero (-0-) ending
balance or ending balance favorable to the Principal; (ii) charge, settle and close any such account,
and (iii) return all interest to the Principal via STRAWMAN FULL NAME (SS# ) in care of the
above location.
Respondent shall have three (3) days from the date of verified receipt of this Bond to
perform or dishonor this Bond by returning it with all attachments to the Principal at the abovenoted location by non domestic post. Failure to so return shall constitute Respondents acceptance
of and performance on all terms and provisions herein. Silence is acquiescence.
This Bond shall be posted as an asset to the benefit of the United States Department of the
Treasury and shall expire upon expiration of the Principal.
All rights reserved. All property exempt from levy.
_____________________________________
Surety 1, First Surety
Private Offset Account No. Surety1EIN#
c/o Surety 1 Address
Surety1City,State state
non-domestic without the United States

_____________________________________
Surety 2, Second Surety
Private Offset Account No. Surety2EIN#
c/o Surety 2 Address
Surety2City,State state
non-domestic without the United States

______________________________________
Man Full Name, Principal
Private Offset Account No. EIN#
c/o Man Address
Man City,State state
non-domestic without the United States

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